A 45-year-old man is admitted to ICU with acute ethylene glycol poisoning. He has a high anion gap metabolic acidosis (pH 7.08, anion gap 32), osmolar...

Question

A 45-year-old man is admitted to ICU with acute ethylene glycol poisoning. He has a high anion gap metabolic acidosis (pH 7.08, anion gap 32), osmolar gap of 45, and acute kidney injury with calcium oxalate crystals in the urine. What is the specific antidote?

Accepted Answer

IV fomepizole (4-methylpyrazole) or IV ethanol infusion

Answer

IV N-acetylcysteine

Answer

IV sodium bicarbonate

Answer

IV calcium gluconate

Answer

Activated charcoal

uk-fficm MCQ (SBA): Ethylene Glycol Poisoning

A 45-year-old man is admitted to ICU with acute ethylene glycol poisoning. He has a high anion gap metabolic acidosis (pH 7.08, anion gap 32), osmolar gap of 45, and acute kidney injury with calcium oxalate crystals in the urine. What is the specific antidote?